![]() Several cases are presented that demonstrate the findings typical of those observed in the patients examined at the Optometry Clinic. Some of these patients manifested visual field changes that mimic glaucoma. Microtalc retinopathy and associated retinal nerve fiber layer "rake" or "slit" defects were detected exclusively in patients who had free-based "crack" cocaine. Threshold visual field testing and fundus photographs were obtained and later reviewed. None have discussed the potential retinal complications stemming from cocaine inhalation.Īpproximately 60 patients with a history of free-basing "crack" cocaine were examined at the Optometry Clinic. ![]() There have been several reports in the literature documenting ocular manifestations of cocaine abuse.
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